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Northern Oesophago Gastric Cancer Unit MDT data

Northern Oesophago Gastric Cancer Unit MDT data. NECN Audit Meeting – 6 th November 2013. Methods. Patients discussed at weekly Newcastle Multi-disciplinary Team meeting in period January – December 2012 Excludes patients discussed by video-link to Sunderland

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Northern Oesophago Gastric Cancer Unit MDT data

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  1. Northern Oesophago Gastric Cancer Unit MDT data NECN Audit Meeting – 6th November 2013

  2. Methods • Patients discussed at weekly Newcastle Multi-disciplinary Team meeting in period January – December 2012 • Excludes patients discussed by video-link to Sunderland • Prospective data entry onto database - Dendrite • Intended use: Local, Regional & National audit Research • Data then exported onto Microsoft Excel for analysis

  3. National Audit Programme • The second Audit began collecting prospective data on patients (aged 18 years or over) diagnosed with invasive epithelial cancer of the oesophagus, gastro-oesophageal junction (GOJ) or stomach on or after 1 April 2011. • Since 1 April 2012, the Audit has also included patients diagnosed with oesophageal high-grade glandular dysplasia (HGD). To allow this, a slightly revised dataset was implemented in April 2012.

  4. National Audit 2013 – Resections by site

  5. MDT Discussions 588 excl Carlisle n=1511 incl Carlisle

  6. New discussions Other incl. – GISTs, HGD, LGD, Surveillance pts, & referred onto another MDT N = 674 538 + cancers

  7. New OG neoplasm n=463

  8. Number of MDT Discussions Median discussion: 2 N=588 – New Discussions Excl. 86 Carlisle pts

  9. Age

  10. Carlisle Discussions

  11. New referrals to MDT by site n=450 vs. 324 vs. 408 vs 467 vs 437 vs 463 excl Carlisle pts – positive cancers only

  12. Intention to treat by site - 2012 Friday MDT’s only No action – incl. Benign, Best supportive care & referral onto other MDT’s

  13. Oesophageal Cancer:(2012) Histological subtype Other incl. – Carcinoid, Leioyoma, melanoma, benign

  14. Oesophageal Cancer: Treatment intent by histological subtype

  15. Oesophageal cancer: Curative treatment intent

  16. Actual Resections - Pos Cancers only

  17. Procedures 2012

  18. Morbidity/Complications note: 30 day Mortall complications incl. n=137 - 2009 n=149 - 2010 n=162 - 2011 N=168 - 2012

  19. Pathological Stage by subtype Excl. Carcinoid’s & Leioyoma’s excluded, 8 open and close excluded

  20. Oesophageal Cancer: Treatment change

  21. Recruitment to trials - 2012 Please note: Cougar 02 closed 30/04/12. Other trials had closed

  22. UGI Two Week Waits 2012 62 day breaches: 14.5 (0.84%)

  23. Refs- 2 Week Waits – Comparison by Year

  24. Breaches - Comparison

  25. Acknowledgements Helen Jaretzke NOGCU Data Manager Angie Tate NOGCU Data Clerk Paula Brooks MDT Coordinator Jonathan Stoddart NCCC Research Coordinator

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